Organization
BIRCHWOOD THERAPY SERVICES, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLINE JANE BAD HEART BULL PSY.D (OWNER)
(320) 291-6137
Entity
Organization
Contact information
Practice address
13968 CYPRESS DR STE 1A, BAXTER, MN 56425-5904
(218) 454-1082
(218) 454-1083
Mailing address
13968 CYPRESS DR STE 1A, BAXTER, MN 56425-5904
(218) 454-1082
(218) 454-1083
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4453
MN
Other
Enumeration date
06/27/2014
Last updated
12/12/2014
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